JODI GAYLE LAKE (NPI# 1457826869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457826869 |
Entity Type | Individual |
Full Name | JODI GAYLE LAKE |
Practice Address |
2523 Lorentson Ct Kokomo IN 46901 |
Mailing Address |
2523 Lorentson Ct Kokomo IN 46901-7089 |
Practice Telephone | 7652529909 |
Enumeration Date | 2018-10-11 |
Last Update Date | 2018-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2523 LORENTSON CT |
City | KOKOMO |
State | IN |
Zip Code | 46901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
1730125402 | Lawrence O Larson | Anesthesiology | 1907 W Sycamore, Kokomo, IN 46901 | 2006-06-21 |
Find all providers in zip 46901 |
Taxonomy Code | 222Q00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Developmental Therapist |
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
1235760182 | Rhaye Ann M Robinson | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2020-01-29 |
1760026884 | Cristina Hudepohl | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2019-10-31 |
1114497021 | Brandy Tennille Strubell | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2018-12-04 |
1366910721 | Marissa Wells | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2018-11-05 |
1780151761 | Rachel Mcknight | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2018-10-29 |
1629544663 | Joy Elaine Ruse | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2018-10-17 |
1083907943 | Brenda Webster | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2011-05-25 |
1538492087 | Melanie A Piske | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2009-09-16 |
Find all providers in KOKOMO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.